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World Journal of Surgery

Published in:

01-09-2008

New Technique for Rectal Division in Laparoscopic Anterior Resection—with Video

Authors: Yosuke Fukunaga, Masayuki Higashino, Shinya Tanimura, Masashi Takemura, Yushi Fujiwara, Harushi Osugi

Published in: World Journal of Surgery | Issue 9/2008

Abstract

Background

A new technique for performing laparoscopic anterior resection is described. Main differences from the standard technique are (1) pneumoperitoneum to improve exposure of the rectum, even in a narrow pelvis; (2) rectal division performed using a conventional linear stapler inserted via a 4.5 cm suprapubic incision; and (3) eversion of the rectum for tumors close to the anal verge, with transection performed under direct vision.

Methods

Results in 78 patients who underwent transabdominal transection and in 7 patients requiring rectal eversion were compared retrospectively with those in 61 consecutive patients who had undergone standard laparoscopic resection.

Results

The duration of the operation and estimated blood loss were greater with rectal eversion, and more staple cartridges were used for the conventional technique; however, the incidence of complications was similar for all three groups. Five patients in the conventional group required conversion to an open procedure.

Conclusion

The new technique should improve the safety of resection.

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Title: New Technique for Rectal Division in Laparoscopic Anterior Resection—with Video
Authors: Yosuke Fukunaga
Masayuki Higashino
Shinya Tanimura
Masashi Takemura
Yushi Fujiwara
Harushi Osugi
Publication date: 01-09-2008
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 9/2008
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-008-9676-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

New Technique for Rectal Division in Laparoscopic Anterior Resection—with Video

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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